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Enthesitis - Europe PMC

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Last Updated: 24 January 2023

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Achilles enthesitis on physical examination leads to worse outcomes after 2 years of follow up in patients with ankylosing spondylitis from REGISPONSER-AS registry.

Background The spondyloarthritis syndrome is one of the most common peripheral musculoskeletal manifestations in patients with axial spondyloarthritis. However, there are few studies that specifically examine Achilles tendon enthesitis and its effects over time. After two years of follow-up in patients with ankylosing spondylitis, the aim of this research was to determine the effects of Achilles' tendon enthesitis found at baseline during physical examination on the outcome measures. Result 34 patients out of 749 patients were enrolled, 46 patients had Achilles' tendon enthesitis during physical examination at the baseline study visit. Patients with and without Achilles enthesitis were 14. 9% and 31. 5% respectively after two years of ASDAS low disease prevalence after two years of follow-up. After two years of follow-up, the presence of Achilles' tendon enthesitis in patients with AS was associated with lower outcomes on outcome measures, contributing to a reduced risk of achieving low disease prevalence in patients with AS.

Source link: https://europepmc.org/article/MED/36639793


Recent updates in enthesitis-related arthritis.

Enthesitis-related arthritis is a subtype of juvenile idiopathic arthritis that is included in juvenile spondyloarthropathy. Among many hypotheses relating HLA B27 to era, one of them is HLA B27's effect on gut dysbiosis. However, new HLA B27 results show that gut dysbiosis is most likely not determined by HLA B27. On MRI, axial disease is present in 50 percent of children with arthritis and enthesitis, although children have arthritis and enthesitis. Children's chronic and chronic diseases have been identified using a computer-based strategy. An abridged version of juvenile spondyloarthropathy disease prevalence and success without the need for acute phase reactions and Schober's test as well as the original score may increase its acceptance in routine exercise. Secukinumab has a higher than 75% response rate in children with ERA, and it may be a good alternative to anti-TNF therapy. Initial results with tofacitinib also look promising.

Source link: https://europepmc.org/article/MED/36629936


Tietze's syndrome presenting as enthesitis diagnosed by ultrasound: A case report.

We described a case of isolated enthesitis in the sternocostal joint of a 42-year-old male patient whose medical history resulted in the diagnosis of TS in a 42-year-old male patient. A 42-year-old male Japanese patient complained of persistent anterior chest wall pains. With modest synovial hypertrophy of the STCJ, Ultrasonography of the rt. 3STCJ revealed hypoechoic thickening and power Doppler signal in the anterior radiate sternocostal ligament. With neovascularization, the sternum was also depicted as cortical bone erosion. Around the rt. 3STCJ, magnetic resonance imaging with T2-weighted short-tau inversion recovery showed high signal intensity in the bone marrow of the sternum and adjacent soft tissue.

Source link: https://europepmc.org/article/MED/35284937


Evaluation of the agreement between the ACR 1990 fibromyalgia tender points and an enthesitis score in patients with axial spondyloarthritis.

Objectives Coexistence of fibromyalgia in patients with axial spondyloarthritis can be a challenge in the evaluation of enthesitis in patients with axial spondyloarthritis due to a potential overlap between the tender points due to enthesitis and those of FM. Objective: To determine the adherence between the MASES enthesitis score and the ACR 1990 criteria in patients with axSpA, the aim was to determine the consistency. According to their rheumatologist and an indication to start a TNFu03b1 blocker, patients had a diagnosis of axSpA. Patients with chronic sacroiliitis and MRI sacroiliitis were present in 56% and 68%, respectively. Patients with radiographic and MRI sacroiliitis accounted for 56% and 68% respectively, in patients. Mean number of ACR 1990 TP was 5. 4, while mean MASES was 4. 2. Conclusion These results reveal a significant similarity between both scores in patients with axSpA, as well as those without concomitant FM.

Source link: https://europepmc.org/article/MED/36573318

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions